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目的探讨腮腺良性肿瘤切除术后并发涎瘘的治疗对策。方法回顾分析2010年3月-2013年7月我院27例腮腺良性肿瘤切除术后并发涎瘘患者的临床资料。结果①同期有109例患者在我院行腮腺良性肿瘤切除术治疗,27例患者并发涎瘘,涎瘘发生率为24.77%。②经口服与肌注阿托品,加压包扎,留置负压引流管,抽液后皮瓣下注射硬化剂,小剂量放射治疗等方法治疗后,所有涎瘘患者均治愈,治愈率为100%。结论腮腺良性肿瘤切除术患者术后并发涎瘘的发生率较高,其主要原因是瘤体、腺体摘除后存在空腔,如果残留腺体处理不当且术后加压包扎不良,残留腺体继续分泌即可导致涎瘘的发生。
Objective To investigate the treatment of paroxysmal salivary fistula after parotidectomy. Methods The clinical data of 27 patients with salivary fistula after resection of parotid gland tumor in our hospital from March 2010 to July 2013 were retrospectively analyzed. Results ① During the same period, 109 patients underwent parotidectomy in our hospital. The incidence of salivary fistula in 27 patients was 24.77%. ② Oral and intramuscular injection of atropine, pressure bandaging, indwelling negative pressure drainage tube, after injection of fluid under the flap sclerotherapy, low-dose radiation therapy and other methods, all patients with salivary fistula were cured, the cure rate was 100%. Conclusions The incidence of postoperative salivary fistula in patients with benign parotidectomy is high, the main reason is the presence of cavity after removal of the tumor and gland. If the residual glands are not properly treated and postoperative compression bandage is poor, the residual glands Continued secretion can lead to the occurrence of salivary fistula.